Catheter with guidewire-lumen and other lumens

Description

Field of the Invention

[0001] The present invention is directed to a catheter assembly, more particularly to the field of catheter assemblies such as angioplasty, neurological and guide catheters, among others, which may be used in various medical procedures such as percutaneous transluminal angioplasty (PTA), percutaneous transluminal coronary angioplasty (PTCA) as well as in procedures involving the placement of medicines and medical devices within the body.

[0002] The invention pertains to all forms of catheters which may be advanced through a body lumen or vessel. Some examples of catheters are over-the-wire (OTW) catheters, such as are described in US 5,047,045; single operator-exchange (SOE) balloon catheters, such as are described in US 5,156,594 and US 5,549,552. Other examples of catheters which may incorporate the unique features of the present invention include monorail/rapid-exchange style balloon catheters, etc.

Description of the Related Art:

[0003] Intravascular diseases are commonly treated by relatively non-invasive techniques such as PTA and PTCA. These angioplasty techniques typically involve the use of a balloon catheter. In these procedures, a balloon catheter is advanced through the vasculature of a patient such that the balloon is positioned proximate a restriction in a diseased vessel. The balloon is then inflated and the restriction in the vessel is opened. In other uses a catheter may be used to deliver an endoprosthesis such as a stent, graft, stent-graft, vena cava filter or other implantable device or devices herein after collectively referred to as a stent or stents. Where a stent is to be delivered into a body lumen the catheter may include one or more inflatable portions or balloons. Typically, the stent is retained in the predelivery state about the catheter shaft, or a portion thereof such as a balloon, by crimping and/or through the use of a retaining mechanism such as sleeve, sheath or sock.

[0004] Balloons and balloon catheters may be particularly useful for the delivery of expandable, implantable medical devices such as stents, grafts, stent-grafts, vena cava filters, hereinafter referred to cumulatively as stents. Stents and catheters used in their delivery are commonly used and as such their structure and function are well known.

[0005] Many catheters, including some types of balloon catheters, comprise a proximal portion of a shaft which is often constructed from a variety of non- thermoplastic and/or metallic material(s). This proximal shaft is joined to a distal portion of the catheter at a port area by using a mid-shaft tube that connects the catheter sections together. The port area is the area of the catheter where the proximal guide wire exits the catheter assembly such as is shown in the PRIOR ART drawing labelled FIG. 1. Typically a D-shaped mandrel (not shown) is inserted through the inflation port to support the bonding of the mid-shaft to the sections of the catheter.

[0006] US 5,156,594 discloses a balloon catheter with distal guidewire lumen in which a kink-resistant structure in figure 13 is provided in the engagement region of a proximal and distal tubular member.

[0007] US 5,334,187 discloses a balloon catheter having an outer shaft being overlappingly engaged to a catheter shaft 20, each shaft having a lumen and a separate guide wire lumen. The abutting guide wire lumens form a continuous guide wire lumen when the shafts are connected. To effect the transition, a cylindrical tube is placed within and joined to the guide wire lumen in the area of the engagement region of the two shafts.

[0008] US 2002/038,103 A1 discloses a catheter with enhanced flexibility in which tubular reinforcing member is provided at the distal end of a proximal tubular member. The proximal tubular member overlaps the inner tubular member in an engagement region.

[0009] The problem of the invention is to provide a catheter assembly having an inner support layer for the proximal tubular member which additionally supports the distal outer tubular member during the bonding/welding process.

[0010] The problem is solved according to claim 1.

BRIEF SUMMARY OF THE INVENTION

[0011] The present invention is directed to a catheter assembly as defined in claim 1 which avoids the use of a mid-shaft tube by directly engaging the proximal shaft or hypotube directly to the distal outer. A portion of the proximal shaft is bonded to the distal outer and a portion is bonded to the inner shaft which defines the proximal guide wire port.

[0012] In some embodiments a liner comprised of polyimide and/or other material is engaged to the inner surface of the hypotube and extends distally beyond the weld area between the proximal shaft and distal outer. The liner maintains the inflation lumen during the welding or bonding process without the need of a mandrel. In at least one embodiment the liner is constructed of braided polyimide.

[0013] In at least one embodiment the hypotube includes an outer coating of one or more materials such as polyesters; polyurethanes; polyamides; polyolefins including polyethylene and polypropylene; and any copolymers thereof. Some more specific examples of suitable materials include, but are not limited to: nylon; polyester elastomer; polyether/block polyamide, such as Pebax, Hytrel and/or Arnitel; polyamid such as Grilamid; flouro-polymer, such as Kynar; polyether ether ketone (PEEK); polyethylene (PE); polyurethane; polyolefin copolymer (POC); tetrafluoroethylenes, such as polytetrafluoroethylene (PTFE); etc.

[0014] These and other embodiments which characterize the invention are pointed out with particularity in the claims annexed hereto and forming a part hereof. However, for a better understanding of the invention, its advantages and objectives obtained by its use, reference should be made to the drawings which form a further part hereof and the accompanying descriptive matter, in which there is illustrated and described a embodiments of the invention.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRA WING(S)

[0015] A detailed description of the invention is hereafter described with specific reference being made to the drawings.

FIG. 1, is a cross-sectional longitudinal side view of a mid-shaft region of a catheter assembly which is representative of a PRIOR ART assembly.

FIG. 2 is a cross-sectional longitudinal side view of an embodiment of the invention.

FIG. 3 is a cross-sectional longitudinal side view of an embodiment.

FIG. 4 is a cross-sectional longitudinal side view of an example.

FIG. 5 is a cross-sectional longitudinal side view of an embodiment.

FIG. 6 shows a step in a manufacturing procedure.

[0016] The examples shown in figures 3-5 are not embodiments of the invention.

DETAILED DESCRIPTION OF THE INVENTION

[0017] While this invention may be embodied in many different formes, there are described in detail herein specific preferred embodiments of the invention. This description is an exemplification of the principles of the invention and is not intended to limit the invention to the particular embodiments illustrated.

[0018] For the purposes of this disclosure, like reference numerals in the figures shall refer to like features unless otherwise indicated.

[0019] As indicated above, FIG. 1 shows a longitudinal cross-section of a PRIOR ART catheter assembly 100, which employs a mid-shaft tube 110 to connect the proximal shaft or hypotube 112 and distal outer 114. The mid-shaft bond 116 is formed where the mid-shaft tube 110 is welded, bonded or otherwise engaged to the proximal shaft 112. A port bond 118 is the region where the mid-shaft tube 110 is bonded to the distal outer 114 and/or the inner shaft 122 which defines a proximal guidewire lumen 124. A core wire 120 extends through the inflation lumen 126 defined by the hypotube112.

[0020] In many prior art assemblies such as the one shown in PRIOR ART FIG. 1, formation of at least the port bond 118 requires the use of a D-shaped mandrel (not shown) which is inserted through the inflation lumen 126 to support the assembly during the bonding or welding process.

[0021] In at least one embodiment of the present invention a catheter assembly, indicated generally at 10 in FIG. 2, is assembled without employing a mid-shaft tube such as previously described. In some embodiments, catheter 10 is assembled without the need to employ a D-shaped mandrel as well.

[0022] In the embodiment shown in FIG. 2 a proximal shaft or hypotube 12 includes a member or coating 14 of one or more materials such as polyesters; polyurethanes; polyamides; polyolefins including polyethylene and polypropylene; and any copolymers thereof. Some more specific examples of suitable materials include, but are not limited to: nylon; polyester elastomer; polyether/block polyamide, such as Pebax, Hytrel, and/or Arnitel; polyamid such as Grilamid; flouro-polymer, such as Kynar; polyether ether ketone (PEEK); polyethylene (PE); polyurethane; polyolefin copolymer (POC); tetrafluoroethylenes, such as polytetrafluoroethylene (PTFE); etc.

[0023] Coating 14 may be applied to the external surface 16 of at least a portion of the proximal shaft 12, or may be a tubular member of material disposed thereabout. In some embodiments the proximal shaft 12 is at least partially constructed from one or more non-thermoplastic polymers and/or metal. In the embodiment shown, a portion of the coated end region 18 of the proximal shaft 12 is shown engaged to the interior surface 22 of the distal outer shaft 20, in an overlapping configuration. However, alternative configurations such as, an end-to-end (butt-weld) configuration between the outer shaft 20 and the liner 14 and/or proximal shaft 12 may also be used.

[0024] Depending on the material selected for coating 14, the coating 14 may act as a lubricious polymer shrinkable tube that is suitable for thermal welding of polymers of the adjacent structures.

[0025] In some embodiments the proximal shaft 12 may be constructed of a suitable polymer material to permit direct bonding or other engagement of the proximal shaft 12 to the outer shaft 20 without the need of coating 14. For example, directly the components by thermal weld and ultrasonic fusion are two methods, among others, that may be employed to bond the shaft 20 to the proximal shaft 12.

[0026] In the embodiment shown in FIG. 2, a portion of the end region 18 is also engaged to an inner shaft 24 which defines a lumen 26 through which a proximal guidewire 28 is passed. Inner shaft 24 also defines the port 29 where the guidewire 28 exits the catheter 10.

[0027] In FIG. 3, the inner shaft and lumen are not included in the construction of the catheter 10. In figure 3, a coated end region 18 of the proximal shaft 12 is in substantially continuous engagement with the outer shaft 20.

[0028] In the embodiments shown in FIGs. 2 and 3 the coated proximal shaft 12 is engaged to the distal outer tube 20 by welding, bonding, physical engagement, or other engagement methods. In at least one embodiment, a heat shrink material 32, such as may be selected from the materials previously mentioned in reference to coating 14, may be used to define at least a portion of a bond zone 34 which encompasses the overlapping end regions 18 and 30 of the proximal shaft 12 and outer shaft 20 respectively. When a predetermined amount of heat from a laser, forming jaws, or other device is applied to the bond zone 34, the overlapping end regions 18 and 30 are secured together to form the port bond or seal 36.

[0029] In at least one embodiment the length of the overlap of the end regions 18 and 30, or seal 36, is about 1 mm to about 10 mm. In some embodiments the overlap is about 0.5 cm. The length of the bond zone 34, is at least as long as the length of the seal 36, and in at least one embodiment, the bond zone 34 is longer than seal 36. In the embodiment shown in FIG. 2, the bond zone 34 is about 0.6 cm.

[0030] In some embodiments, such as are shown in FIGs. 2 and 3, at least the distal end region 18 of the proximal shaft 12 is disposed about an inner layer 38 of polyimide or other material having a melting temperature higher than that of the proximal shaft 12. Layer 38 has sufficient physical characteristics to prevent deformation of the proximal shaft 12 and outer shaft 20 during formation of the seal 36. In at least one embodiment layer 38 is comprised at least partially of braided polyimide. As is best shown in FIG. 2 layer 38 extends distally beyond the end 18 of the proximal shaft 12 to underlay at least a portion of the outer shaft 20. The distally extending portion 40 of layer 38 extends beyond the bond zone 34 to keep the central inflation lumen 42 open during formation of the seal 36. As a result, a core wire 44 is freely moveable through the lumen 42 even after formation of the seal 36.

[0031] In one example shown in FIG. 4 a catheter assembly 10 comprises a proximal shaft 12. In at least one embodiment, proximal shaft 12 is constructed from at least one polymer material. As shown in FIG. 4, proximal shaft 12 defines an inflation lumen 42. In the embodiment shown the distal outer tube 20 is butt- welded to the end 18 of the proximal shaft 12 at a bond or weld site 34.

[0032] An inner layer or tube 38 of polyimide or other material having a melting temperature higher than that of a polymer material of the proximal shaft 12 and outer tube 20 is inserted within the lumen 42 to maintain the lumen during the welding process.

[0033] In some embodiments the polyimide tube 38 extends proximally and/or distally beyond the weld site 34. For example in some embodiments the tube 38 may extend about 5 mm or less. Other lengths may be possible. Where the polyimide tube 38 extends beyond the weld site 34, the polyimide tube or member may provide the assembly 10 with improved push and strength characteristics, etc.

[0034] In at least one embodiment of the invention, such as in the embodiment shown in FIG. 5, shaft 12 may be a bilumen member such as for example may be found on the distal end of a single operator rapid exchange catheter. The shaft 12 defines an inflation lumen 42 and a separate guide wire lumen 62.

[0035] In the embodiment shown in FIG. 5 a distal inner shaft or member 64 is butt-welded to the end 18 of the shaft 12 to extend the guide wire lumen distally. The outer tube 20 is positioned about the distal inner member 64 and is also butt-welded at weld site 34 to the end 18 of the shaft 12. The distal outer shaft 20 thus extends the inflation lumen 42 while the inner shaft 64 defmes a distal extension of the guide wire lunien 62. In order to facilitate maintenance of the inflation lumen 42 through the weld site 34, a polyimide tube or member 38 is positioned across the weld site 34 within the inflation lumen 42 to maintain the lumen 42 during welding.

[0036] As is shown in FIGs. 2 and 3 the use of coated proximal shaft 12 in conjunction with a layer 38 of polyimide, a catheter assembly 10 may be constructed without the need of an external mid-shaft tube and without the need of a mandrel to support the formation of the seal 36. Moreover, as is shown in FIGs. 2 and 3 a catheter formed in accordance with the method described above, requires only a single bond or seal 36 between the proximal shaft 12 and outer shaft 20. This is a significant improvement over prior devices, such as are exemplified in the PRIOR ART device shown in FIG. 1 where a catheter 100 is shown to include two bond sites: the mid-shaft bond 116 and the port bond 118. By eliminating one of the bond sites, a catheter 10, assembled in the manner described above will have lower profile or increased inner lumen diameter, higher burst strength, improved stiffness characteristics, higher tensile strength, improved structural integrity, trackability, and/or be capable of more efficient assembly.

[0037] In various embodiments of the invention the use of polyimide layer 38 maintains the inflation lumen during the welding or bonding process without the need of a mandrel. However, in order to ensure formation of a proper weld, as described above, in some embodiments the catheter 10 at bond site 34 is compressed in one or more directions with jaws 70 such as are depicted in FIG. 6. Jaws 70 apply sufficient force to deform the polyimide layer 38 to provide the lumen 42 with a modified shape. In at least one embodiment the modified shape is a substantially elliptical or oval cross-sectional shape such as is shown. In at least one embodiment the lumen 42 will be provided with a width 72 of about 0.019 inches to about 0.03 inches and a height 74 of about 0.012 inches to about 0.025 inches. In at least one embodiment the width 72 of the lumen is about 0.025 inches and the height 74 is about 0.014 inches.

[0038] In some embodiments the layer or tubular member 38 of polyimide is as thin as possible. In the embodiment shown in FIG. 6 for example, the layer 38 is less than about 0.003 inches thick. In at least one embodiment the layer 38 is less than about 0.001 inches thick (one inch = 25.4 mm).

[0039] The above disclosure is intended to be illustrative and not exhaustive. This description will suggest many variations and alternatives to one of ordinary skill in this art.

Claims

1. A catheter assembly comprising:

• a proximal tubular member (12), the proximal tubular member (12) defining an interior surface and an exterior surface, at least a portion of the exterior surface comprising at least one thermoplastic polymer, the proximal tubular member having an end region,

• a distal outer tubular member (20), the distal outer tubular member (20) defining an interior surface (22) and an exterior surface and having an end region, at least a portion of the end region of the distal outer tubular member being engaged to at least a portion of the end region of the proximal tubular member to define an engagement region (34), the proximal tubular member and the distal outer tubular member defining at least one continuous lumen (42);

• an inner support layer (38), positioned within the continuous lumen (42), the proximal tubular member (12) being disposed about the inner support layer (38), at least a portion of the inner support layer (38) extending distally beyond the end (18) of the proximal tubular member (12) and into the distal outer tubular member (20), wherein the interior surface of the at least a portion of the end region of the distal outer tubular member is overlappingly engaged to and about the exterior surface of at least a portion of the end region of the proximal tubular member; and

• an inner member (24), the inner member (24) defining a guide wire lumen (26), at least a portion of the interior surface of the distal outer tubular member (20) being engaged to at least a portion of the inner member (24), at least a portion of the exterior surface of the proximal tubular member (12) being engaged to at least a portion of the inner member (24).

2. The catheter assembly of claim 1, wherein the proximal tubular member (12) is a hypotube.

3. The catheter assembly of claim 1, wherein the exterior surface of the at least a portion of the end region of the proximal tubular member (12) comprises the thermoplastic polymer.

4. The catheter assembly of claim 3, wherein the interior surface of the at least a portion of the end region of the distal outer tubular member (20) is heat-welded to and about the exterior surface of at least a portion of the end region of the proximal tubular member (12).

5. The catheter assembly of claim 4 further comprising a heat shrink (32), the engagement region having a predetermined length, the heat shrink (32) being disposed about a length of the catheter assembly corresponding to at least the predetermined length of the engagement region.

6. The catheter assembly of claim 5, wherein the heat shrink (32) is longer than the predetermined length of the engagement region.

7. The catheter assembly of claim 3, wherein the interior surface of the at least a portion of the end region of the distal outer tubular member (20) is chemically welded to and about the exterior surface of at least a portion of the end region of the proximal tubular member (12).

8. The catheter assembly of claim 3, wherein the interior surface of the at least a portion of the end region of the distal outer tubular member (20) is mechanically engaged to and about the exterior surface of at least a portion of the end region of the proximal tubular member (12).

9. The catheter assembly of claim 1 further comprising a core wire, the core wire being moveable within the at least one continuous central lumen.

10. The catheter assembly of claim 1, wherein at least a portion of the inner support layer (38) is braided polyimide.

11. The catheter assembly of claim 1, wherein the inner support layer (38) is a tubular member of polyimide material.

12. The catheter assembly of claim 11, wherein the tubular member defines the at least one continuous lumen at the engagement region.

13. The catheter assembly of claim 12, wherein the tubular member has a substantially ovoid cross-sectional shape.

Ansprüche

1. Katheterbaugruppe, umfassend:

• ein proximales röhrenförmiges Element (12), wobei das proximale röhrenförmige Element (12) eine innere Oberfläche und eine äußere Oberfläche definiert, mindestens ein Teil der äußeren Oberfläche mindestens ein thermoplastisches Polymer umfasst und das proximale röhrenförmige Element ein Endgebiet aufweist,

• ein distales äußeres röhrenförmiges Element (20), wobei das distale äußere röhrenförmige Element (20) eine innere Oberfläche (22) und eine äußere Oberfläche definiert und ein Endgebiet aufweist, mindestens ein Teil des Endgebiets des distalen äußeren röhrenförmigen Elements mit mindestens einem Teil des Endgebiets des proximalen röhrenförmigen Elements im Eingriff ist, um ein Eingriffsgebiet (34) zu definieren und das proximale röhrenförmige Element sowie das distale äußere röhrenförmige Element mindestens ein durchgängiges Lumen (42) definieren;

• eine innere Stützschicht (38), positioniert in dem durchgängigen Lumen (42), wobei das proximale röhrenförmige Element (12) um die innere Stützschicht (38) herum angeordnet ist, mindestens ein Teil der inneren Stützschicht (38) sich distal über das Ende (18) des proximalen röhrenförmigen Elements (12) hinaus und in das distale äußere röhrenförmige Element (20) hinein erstreckt, wobei die innere Oberfläche von dem mindestens einen Teil des Endgebiets des distalen äußeren röhrenförmigen Elements in überlappender Weise mit dem und um die äußere Oberfläche von dem mindestens einen Teil des Endgebiets des proximalen röhrenförmigen Elements herum in Eingriff ist; und

• ein inneres Element (24), wobei das innere Element (24) ein Führungsdraht-Lumen (26) definiert, mindestens ein Teil der inneren Oberfläche des distalen äußeren röhrenförmigen Elements (20) mit mindestens einem Teil des inneren Elements (24) in Eingriff ist und mindestens ein Teil der äußeren Oberfläche des proximalen röhrenförmigen Elements (12) mit mindestens einem Teil des inneren Elements (24) in Eingriff ist.

2. Katheterbaugruppe gemäß Anspruch 1, wobei das proximale röhrenförmige Element (12) ein Hypotube ist.

3. Katheterbaugruppe gemäß Anspruch 1, wobei die äußere Oberfläche des mindestens einen Teils des Endgebiets des proximalen röhrenförmigen Elements (12) das thermoplastische Polymer umfasst.

4. Katheterbaugruppe gemäß Anspruch 3, wobei die innere Oberfläche von dem mindestens einen Teil des Endgebiets des distalen äußeren röhrenförmigen Elements (20) mit dem und um die äußere Oberfläche von dem mindestens einen Teil des Endgebiets des proximalen röhrenförmigen Elements (12) herum durch Wärme verschweißt ist.

5. Katheterbaugruppe gemäß Anspruch 4, ferner umfassend eine Wärmeschrumpfung (32), wobei das Eingriffsgebiet eine vorbestimmte Länge aufweist und die Wärmeschrumpfung (32) um eine Länge der Katheterbaugruppe herum angeordnet ist, die mindestens der vorbestimmten Länge des Eingriffsgebietes entspricht.

6. Katheterbaugruppe gemäß Anspruch 5, wobei die Wärmeschrumpfung (32) länger ist als die vorbestimmte Länge des Eingriffsgebietes.

7. Katheterbaugruppe gemäß Anspruch 3, wobei die innere Oberfläche von dem mindestens einen Teil des Endgebiets des distalen äußeren röhrenförmigen Elements (20) mit dem und um die äußere Oberfläche von dem mindestens einen Teil des Endgebiets des proximalen röhrenförmigen Elements (12) herum chemisch verschweißt ist.

8. Katheterbaugruppe gemäß Anspruch 3, wobei die innere Oberfläche von dem mindestens einen Teil des Endgebiets des distalen äußeren röhrenförmigen Elements (20) mit dem und um die äußere Oberfläche von dem mindestens einen Teil des Endgebiets des proximalen röhrenförmigen Elements (12) herum mechanisch in Eingriff ist.

9. Katheterbaugruppe gemäß Anspruch 1, ferner umfassend einen Kerndraht, wobei der Kerndraht innerhalb des mindestens einen durchgängigen zentralen Lumens beweglich ist.

10. Katheterbaugruppe gemäß Anspruch 1, wobei mindestens ein Teil der inneren Stützschicht (38) geflochtenes Polyimid ist.

11. Katheterbaugruppe gemäß Anspruch 1, wobei die innere Stützschicht (38) eine röhrenförmiges Element aus Polyimidmaterial ist.

12. Katheterbaugruppe gemäß Anspruch 11, wobei das röhrenförmige Element in dem Eingriffsgebiet das mindestens eine durchgängige Lumen definiert.

13. Katheterbaugruppe gemäß Anspruch 12, wobei das röhrenförmige Element eine im Wesentlichen ovale Querschnittsform aufweist.

Revendications

1. Ensemble de cathéter, comportant:

• un élément tubulaire proximal (12), l'élément tubulaire proximal (12) définissant une surface intérieure et une surface extérieure, au moins une part de la surface extérieure comportant au moins un polymère thermoplastique et l'élément tubulaire proximal ayant une région d'extrémité,

• un élément tubulaire distal extérieur (20), l'élément tubulaire distal extérieur (20) définissant une surface intérieure (22) et une surface extérieure et ayant une région d'extrémité, au moins une part de la région d'extrémité de l'élément tubulaire distal extérieur étant engagée avec au moins une part de la région d'extrémité de l'élément tubulaire proximal pour définir une région d'engagement (34), l'élément tubulaire proximal et l'élément tubulaire distal extérieur définissant au moins un canal continu (42);

• une couche de support intérieure (38), positionnée dans le canal continu (42), l'élément tubulaire proximal (12) étant disposé autour de la couche de support intérieure (38), au moins une part de la couche de support intérieure (38) s'étendant distalement au-delà de l'extrémité (18) de l'élément tubulaire proximal (12) et à l'intérieur de l'élément tubulaire distal extérieur (20), dans lequel la surface intérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire distal extérieur est engagée de façon chevauchante avec et autour de la surface extérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire proximal; et

• un élément intérieur (24), l'élément intérieur (24) définissant un canal pour un fil-de-guidage (26), au moins une part de la surface intérieure de l'élément tubulaire distal extérieur (20) engageant au moins une part de l'élément intérieur (24), et au moins une part de la surface extérieure de l'élément tubulaire proximal (12) engageant au moins une part de l'élément intérieur (24).

2. Ensemble de cathéter selon la revendication 1, dans lequel l'élément tubulaire proximal (12) est un hypotube.

3. Ensemble de cathéter selon la revendication 1, dans lequel la surface extérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire proximal (12) comporte le polymère thermoplastique.

4. Ensemble de cathéter selon la revendication 3, dans lequel la surface intérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire distal extérieur (20) est soudée avec et autour de la surface extérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire proximal (12) par chaleur.

5. Ensemble de cathéter selon la revendication 4, comportant en outre un rétrécissement par chaleur (32), la région d'engagement ayant une longueur prédéterminée et le rétrécissement par chaleur (32) étant disposé autour d'une longueur de l'ensemble de cathéter qui correspond au moins à la longueur prédéterminée de la région d'engagement.

6. Ensemble de cathéter selon la revendication 5, dans lequel le rétrécissement par chaleur (32) est plus long que la longueur prédéterminée de la région d'engagement.

7. Ensemble de cathéter selon la revendication 3, dans lequel la surface intérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire distal extérieur (20) est soudée avec et autour de la surface extérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire proximal (12) de façon chimique.

8. Ensemble de cathéter selon la revendication 3, dans lequel la surface intérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire distal extérieur (20) est engagée avec et autour de la surface extérieure de l'au moins une part de la région d'extrémité de l'élément tubulaire proximal (12) de façon mécanique.

9. Ensemble de cathéter selon la revendication 1, comportant en outre un fil central, le fil central étant mobile dans l'au moins un canal central continu.

10. Ensemble de cathéter selon la revendication 1, dans lequel au moins une part de la couche de support intérieure (38) est du polyimide tressé.

11. Ensemble de cathéter selon la revendication 1, dans lequel la couche de support intérieure (38) est un élément tubulaire fait de matériau polyimide.

12. Ensemble de cathéter selon la revendication 11, dans lequel l'élément tubulaire définit l'au moins un canal continu dans la région d'engagement.

13. Ensemble de cathéter selon la revendication 12, dans lequel l'élément tubulaire a une forme de la section transversale essentiellement ovale.

Drawing